ArticleThe journal of climate change and health
Extreme climate exposure and cognitive function among older adults in China: The moderating role of age-friendly home modifications.
Article in The journal of climate change and health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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7 authors.
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Abstract
Objectives: As climate change accelerates and populations age, the cognitive health risks of extreme climate exposure is increasingly critical. This study investigated whether exposure to extreme heat, cold, and high precipitation affects cognitive function in older adults and whether age-friendly home modifications moderate these relationships. Methods: We linked three waves of the Chinese Longitudinal Aging Social Survey (2016, 2018, 2020; 21,789 observations from 7263 adults aged ≥ 60) to prefecture-level daily meteorological data. Extreme climate exposures were defined using location-specific percentile-based thresholds. Cognitive function was measured with the modified Mini-Mental State Examination. Fixed-effects regressions estimated climate-cognition associations, and propensity-score matching combined with difference-in-differences tested whether home modifications moderated these associations. Results: All three extreme climate exposures significantly reduced cognitive function: extreme heat (β=-0.006, Conclusions: Extreme climate exposures accelerate cognitive decline in older adults, while age-friendly home modifications provide moderating protection. Integrating such modifications into national climate-adaptation and healthy-aging strategies could enhance cognitive resilience in rapidly aging societies.
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